Abstract

Objectives: to determine the cosmetic outcome of using stitch-by-stitch (SBS) glanuloplasty compared to the tubularized incised plate (TIP) technique.

Methods:

We retrospectively reviewed the records of consecutive patients referred for treatment of hypospadias between March 2021 and March 2022. A total of 87 boys underwent hypospadias repair at our institution during this period. We included patients with DPH aged between one and three years. A total of 40 children comprised our study population, of whom 20 underwent a TIP repair and 20 underwent SBS glanuloplasty onlay repair, based on surgeon preference, glans shape, and the width of the uretheral plate. Patients Postoperatively, all patients were followed up at one and three weeks postoperatively then at 3 months to determine the cosmetic outcome and the postoperative complications.

Results: mean age of the patients in the SBS group was 24.55±5.74 months, and 25.65±7.34 months in the TIP group.The parents' satisfaction rate in the SBS group was 85%, compared to 75% in the TIP group (p=0.659). On the other hand, both groups showed similar rates in terms of other pediatric surgeon satisfaction (80%) and nurse satisfaction (80%). The overall satisfaction rate was slightly higher in the SBS group compared to the TIP group (85% vs. 80%), respectively, with no statistically significant difference (p=0.666). The rate of complications was 25% and 20% in the SBS and TIP groups, respectively.

Conclusion: SBS and TIP techniques are comparable in terms of patients', nurses', and surgeons' satisfaction. Moreover, the complication rate was comparable in both techniques.